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813-780-0020 City of Zephyrii Ils Permit Appiication �aX-s�s-�saoo2� <br /> Buildi g Department <br /> r <br /> Date Received Phone Cantact f r Permttting -- <br /> Owne�'s Nam� ��� r ? Gt � t',1 Owner Phone Number �J�`,�,`'^��Q��-f <br /> Ourner's Address J �� O �� Owner Phone Number �- � <br /> Fee Simple Titleholder Name �! Ownev Phone�lurriber � � <br /> ___-�� <br /> Fee Simple Titleholder Address <br /> � <br /> JOB ADDRESS � r 3�{+7 0 ���e . '` LOT# C� <br /> SUSD1ViStON �- � PARCE ip# <br /> =--_--<-<---::=-.--- _.�_^_.(OBTAINED FROM pROPER7Y TAX NOTICE) _�� <br /> � lNORK P�20POSED NEW CONSTR AQDIA � S1GN o o C}EMOLISH - ~_ - <br /> e INSTALL 8 REPAI <br /> PE24POSED USE Q SFR Q COMM � t�THER <br /> 7YPE OF CONSTRUCTION Q BLOCK Q' FRA,M - " ;C� S7EEL � <br /> DESCRfPTtON�F WORK � . ��^�'!� �� �lh�� �� � `E' � <br /> `.¢= � � / / � , <br /> BUILDING SlZE � � �i�fOOTAGE �t� HEIGHT V �`7 <br /> ����L�t�� $ f°7�Q �Q VALUATIO OF TflTAI.CONSTRUCTIt3t�! - <br /> QELECTRICAC � � AMP SERVI E Q PROGRESS ENERGY Q W.ft.E.C. <br /> QPLUMBtNG $ � <br /> OMECHANICA� �� VALUATlO OF MECHANlCA�INS7ALlATiON � <br /> ., , �� <br /> � f�j� <br /> �GAS Q ROOFING Q SPEG TY � OTHEft . �S '" <br /> FINISHED FLOOR ELEVATIONS FLOO � ZQNE AREA YES NO � <br /> I � <br /> E3UtldER C�MPANY �i�R--° �I�JG� <br /> SIGNA�'dlRE ` RF�GIS7ERED Y/ N FEE CURRE� Y/N <br /> Address �S� P rS �t�� ( License# �_ ' � <br /> I <br /> EE.ECTRICfAt+t COMPANY <br /> SIGNATURE R GISTERED Y/ N FEE CURRE� Y/N <br /> Address ( . �icense# + <br /> PLUMBER C MPANY � <br /> $IGNATURE � R GISTERED Y/ N FEE CURRE� Y!N <br /> Address License# � � <br /> MECHANIGAL C MPANY � <br /> 51GNATURE R GISTERED Y I N FEE CURRE� Y J N - <br /> Address �9cense# � i <br /> OTHER � C MPANY � <br /> SiGNATURE � R GISTERED Y J N FEE WRREi� Y I N - <br /> Address �9ce»se# �� � `) <br /> RESiDEPiT1AL Attach(2}ptot Pians;{2)sets of Butiding Plans;(1}se, of Energy Forms;R-O-W Permit for�ew construction, <br /> Ml�imum ten(10)working days after sutimittal date. �tequired onsite,Cansfruction Plans,Stormwa#er Plans w!Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permik for subdivisionsAarge projects <br /> GOMI�6EE2CIA� Attach{3}complete sets of Buiiding Plans pius a Ufe afety Page;{1)set of Energy Forms.-R-O-W Permit for new constructfan. <br /> Minimum ten('S 0)working days after submittal date. equired onsite,Constructian Pians,Sformwater Pians w/Si(t Fence instatled, <br /> Sanitary Facilities&.1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SiGN PERMI� Afkach{2}s�#s af Engineered Plans.' - � <br /> "'*PROPERTY SURVEY required for all NEW cuns ction. <br /> i <br /> Directians: <br /> Fili out application completely. <br /> Owner&Contractar sign back of application,notarized <br /> If over�2500,a Notice of Commencement ts reguired. (Al�up rades aver 57500} <br /> "" Agent(for the contractor)or Power of Atkomey(far the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE CUUNTEit PERMITTING {Front of Appllca�on Qniy} <br /> Reroofs if shingles Sewers 5ervice Upgrades A/C Fenc s(PIoUSurvey/Foatage) <br /> Drivewrays-Not over Gounter if on publ�c roadways..needs ROW , <br />